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How Can I Get Pregnant While Suffering From Irregular Periods?
29 yrs i h've irregular periods1 year passed h'ving marrige doctor gave birth control pills then she put me on letrozole four cycle has been passed
1) no result, tests were ok like fallopion tubes ,sperms and ovalation were also happen. then why wht is the reason? that i h've not conceiveing
2) wht to do next to h'ving better chance
1) no result, tests were ok like fallopion tubes ,sperms and ovalation were also happen. then why wht is the reason? that i h've not conceiveing
2) wht to do next to h'ving better chance
Wed, 31 Aug 2016
Hallow Dear,
You have briefly narrated the required information and I should compliment you for the same.
Since your Tubes are patent, semen examination is normal and the ovulation is occurring, the advice has got definite directives. However, if you are ovulating normally, I wonder why you are put on Letrazol which is to help the ovulation. Now my suggestions are :
1. Get ultrasonography done for ovulation monitoring. This will be done from day 9 of the cycle till the ovulation occurs. It will provide you the information as when the ovulation is taking place and what is the size of follicle when ovulation takes place. Egg released from the follicle between 18 mm to 21 mm size are healthiest and have got better chances of fertilization. You may plan your intercourse at and around ovulation day which will increase the possibility of fertilization. Also you will get the information about the thickness of uterine lining (endometrium). At the time of ovulation, the endometrium should be at least 10 mm thick. If the endometrium is thinner, you will require some support to build up endometrium.
2. In fact I am surprised to note that your ovulation is normal and still you are having irregular menstruation. Please get the information and evidences of ovulation confirmed from your doctor.
3. If with timing of the intercourse around the ovulation day still you fail to conceive, then the case is labelled as unexplained infertility. These are the cases suitable for Assisted Reproductory Techniques (ART) which include artificial insemination (vaginal or uterine), in vitro fertilization and embryo transfer, etc.
I hope this should give guidelines for further management.
Dr. Nishikant Shrotri
You have briefly narrated the required information and I should compliment you for the same.
Since your Tubes are patent, semen examination is normal and the ovulation is occurring, the advice has got definite directives. However, if you are ovulating normally, I wonder why you are put on Letrazol which is to help the ovulation. Now my suggestions are :
1. Get ultrasonography done for ovulation monitoring. This will be done from day 9 of the cycle till the ovulation occurs. It will provide you the information as when the ovulation is taking place and what is the size of follicle when ovulation takes place. Egg released from the follicle between 18 mm to 21 mm size are healthiest and have got better chances of fertilization. You may plan your intercourse at and around ovulation day which will increase the possibility of fertilization. Also you will get the information about the thickness of uterine lining (endometrium). At the time of ovulation, the endometrium should be at least 10 mm thick. If the endometrium is thinner, you will require some support to build up endometrium.
2. In fact I am surprised to note that your ovulation is normal and still you are having irregular menstruation. Please get the information and evidences of ovulation confirmed from your doctor.
3. If with timing of the intercourse around the ovulation day still you fail to conceive, then the case is labelled as unexplained infertility. These are the cases suitable for Assisted Reproductory Techniques (ART) which include artificial insemination (vaginal or uterine), in vitro fertilization and embryo transfer, etc.
I hope this should give guidelines for further management.
Dr. Nishikant Shrotri
I find this answer helpful
2 Doctors agree with this answer
Hallow Dear,
It is quite encouraging to know that your tubes are normal, you are ovulating normally and husband's sperm count also is within normal limits.
I would advise you as follows:
Monitor your ovulation. This can be done by home kit and/or by ultrasonography. Home kit will inform you the day of ovulation while ultrasonography will additionally give information about the follicular size just before ovulation and endometrial thickness at the time of ovulation.
Eggs released from follicles between 18 mm and 21 mm are healthiest and give better pregnancy results.
Endometrium of 9mm to 14 mm thickness is most conducive for implantation of the fertilised ovum.
If you meet these parameters, please plan your sexual relations on and around the day of ovulation. If either of the parameter is deficient, please report to your infertility consultant.
Letrozole you are taking helps building up of the endometrium.
If in spite of all results in normal range, you do not conceive by planning your intercourse, then such case is labelled as unexplained infertility.
Unexplained infertility cases are to be managed by Artificial Reproductory Technique. Please in such case, report to an Infertility Consultant.
I hope this guides you towards motherhood.
Dr. Nishikant Shrotri
It is quite encouraging to know that your tubes are normal, you are ovulating normally and husband's sperm count also is within normal limits.
I would advise you as follows:
Monitor your ovulation. This can be done by home kit and/or by ultrasonography. Home kit will inform you the day of ovulation while ultrasonography will additionally give information about the follicular size just before ovulation and endometrial thickness at the time of ovulation.
Eggs released from follicles between 18 mm and 21 mm are healthiest and give better pregnancy results.
Endometrium of 9mm to 14 mm thickness is most conducive for implantation of the fertilised ovum.
If you meet these parameters, please plan your sexual relations on and around the day of ovulation. If either of the parameter is deficient, please report to your infertility consultant.
Letrozole you are taking helps building up of the endometrium.
If in spite of all results in normal range, you do not conceive by planning your intercourse, then such case is labelled as unexplained infertility.
Unexplained infertility cases are to be managed by Artificial Reproductory Technique. Please in such case, report to an Infertility Consultant.
I hope this guides you towards motherhood.
Dr. Nishikant Shrotri
I find this answer helpful
1 Doctor agrees with this answer
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